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Department of Environmental Health & Safety

Phone: (410) 704-2949

Fax: (410) 704-2993

Emergency: (410) 704-4444

Email: Safety@towson.edu

Website: www.towson.edu/ehs/index.html

REVISED March 2016

AERIAL

PLATFORM

PROGRAM

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Contents I. EMERGENCY AND ASSISTANCE TELEPHONE NUMBERS ............................................................................................ 3

II. PURPOSE: .................................................................................................................................................................. 3

III. DEFINITIONS: ........................................................................................................................................................... 3

IV. OPERATION OF AERIAL PLATFORMS: ...................................................................................................................... 4

APPENDIX A ................................................................................................................................................................ 13

APPENDIX B ................................................................................................................................................................ 14

APPENDIX C ................................................................................................................................................................ 19

APPENDIX D ................................................................................................................................................................ 21

APPENDIX E ................................................................................................................................................................. 23

APPENDIX F ................................................................................................................................................................. 24

APPENDIX G ................................................................................................................................................................ 27

APPENDIX H ................................................................................................................................................................ 28

APPENDIX I .................................................................................................................................................................. 30

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I. EMERGENCY AND ASSISTANCE TELEPHONE NUMBERS

FIRE - RESCUE - EMERGENCY MEDICAL SERVICE: 911

At the emergency blue-light and yellow phones located around

campus, press the emergency button to be connected to the

University Police who can contact 911 for you, or dial 911

on the keypad to be connected directly to the 911 Center.

Give the dispatcher all of the requested information.

FOR OTHER EMERGENCIES (Contact the TUPD): (410) 704-4444

Department of Environmental Health and Safety (EHS) (410) 704-2949

University Health Center (410) 704-2466

Dept. of Facilities Management - Work Control Center (410) 704-2484

II. PURPOSE:

To outline the safe operating procedures of aerial platforms or a combination of such devices when used to elevate

associates to job-sites or for the purpose of maintenance activities above ground and to prevent serious accidents

from occurring while they operate these devices. These devices are commonly called:

A. Boom lifts

B. Scissor lifts

C. Push-around lifts

D. Trailer-mounted boom lifts

This procedure applies to the above devices owned or leased by Towson University, which are operated by TU

employees.

III. DEFINITIONS:

Aerial Platform - A mobile or manually propelled device or vehicle-mounted device that has an adjustable

position platform, supported from ground level by a structure or vehicle.

Authorized Personnel – Individuals certified to operate an aerial platform and assigned to perform a specific

type of duty or duties at a specific location or locations at a work site.

Base - The relevant contact points of the aerial platform that form the stability fulcrum (e.g., wheels, casters,

outriggers, stabilizers, etc.)

Chassis - The integral part of the aerial platform that provides mobility and support for the elevating assembly.

Competent Person - An individual who, because of training and experience, is capable of identifying hazardous

or dangerous conditions in powered platform installations and of training associates to identify such conditions.

Configuration - All positions in which an aerial platform or any part thereof can be placed within its intended

operating limits.

Elevating Assembly - The mechanisms used to position the platform relative to the aerial platform chassis.

Familiarization – Providing information regarding the control functions and safety devices for the aerial

platform(s) to a qualified person or operator who controls the movement of the aerial platform(s) being

delivered.

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General Training – Instruction to enable the trainee to become a qualified person regarding the task to be

performed, including knowledge regarding potential hazards.

Guardrail System - A vertical barrier intended to prevent associates from falling to lower levels.

Hazardous Location - Any location that contains, or has the potential to contain, an explosive or flammable

atmosphere as defined in ANSI/NFPA 505.

Instability - the quality or state of being unstable, likely to tip over.

Insulated Platform - A platform designed and tested to meet the specific electrical insulation ratings consistent

with the manufacturer's identification plate.

Interlock - A control or mechanism that, under specific conditions, automatically allows or prevents the

operation of another control or mechanism.

Lanyard - a flexible line or rope, wire rope, or strap, which is used to secure the body belt or body harness to a

deceleration device, lifeline or anchorage.

Modification/Modified - to make a change(s), temporary or permanent, to an aerial platform that affects the

operation, stability, safety factors, rated load or safety of the aerial platform in any way.

Operator - A qualified person who controls the movement of the aerial platform.

Outriggers - Devices that increase the stability of the aerial platform and that are capable of lifting and leveling

the aerial platform.

Platform - the portion of the aerial platform intended to be occupied by individuals with their necessary tools

and materials.

Platform Height - The vertical distance measured from the floor of the platform to the surface upon which the

machine is supported.

Qualified Person - An individual who by reason of knowledge, experience, and training is certified and familiar

with the operation to be performed and the hazards involved.

Rated Work Load - the designed carrying capacity of the aerial platform as specified by the manufacturer.

Shall - The word "shall" is to be understood as mandatory.

Stability - The quality, state of being stable, firmly anchored, not likely to tip over.

Stabilizers - Devices that increase the stability of the aerial platform but are not capable of lifting or leveling the

aerial platform.

IV. OPERATION OF AERIAL PLATFORMS:

1. RESPONSIBILITIES:

a) Each TU Department that owns/operates an aerial platform shall ensure that the necessary training is

acquired by all individuals performing maintenance or inspections on, working on or operating aerial

platforms/lifts or any combination of such devices.

b) Each TU Department that owns/operates an aerial platform shall appoint a Supervisor(s) to serve as a

Competent/Qualified Person(s), to ensure training for this/these position(s), and to ensure that pre-start,

frequent and annual inspections are performed. The name(s) of the Supervisor(s) shall be forwarded to

EHS.

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c) The Supervisor(s) shall ensure that all individuals who operate aerial platforms/lifts are provided

general training on the class of equipment to be used and certified to perform the duties assigned. The

supervisor shall use the general training record attached as Appendix F of this program as verification

of training.

d) The supervisor shall document that the employee receives familiarization instruction on the particular

make and model lift for which the employee will operate. The supervisor shall use the familiarization

training record attached as Appendix G of this program as verification of instruction.

e) All training records shall be forward to EHS for retention.

f) Individuals shall not operate any aerial platform/lift without having been properly trained on the details

of this procedure and the operating manual of the specific model aerial platform/lift.

2. SAFETY REQUIREMENTS:

a) ONLY AUTHORIZED (those who have been properly trained and certified) individuals shall operate

an aerial platform/lift, extensible boom platform, aerial ladders, articulating boom platforms, vertical

towers, ladder trucks, tower trucks, or any combination of such devices.

b) All operators and workers who are to perform work from any aerial lift shall be trained on this

procedure and on the operating manual of the specific device which is to be operated or work

performed from.

c) Individuals who are scheduled to perform routine maintenance, inspections, or to repair any aerial lift

shall have received training or possess appropriate knowledge on this procedure and on the operating

manual of the specific device PRIOR to performing any work on that device.

Note: Operating and maintenance manuals should be obtained from either the manufacturer of the

aerial platform or EHS.

d) A copy of the operating manual, maintenance manual, and the log of inspections shall be kept with

each aerial platform and with EHS. These documents are considered an integral part of the aerial

platform and are vital to communicate necessary safety information to users and operators.

e) NO aerial platform shall be modified or altered without the modifications or alterations being approved

and certified in writing by the manufacture. Records of all approved modifications and alterations,

including written authorization from the manufacturer for the modification or alteration, shall be kept

with the aerial platform as part of the operating and maintenance manual and with EHS. The altering or

disabling of interlocks or other safety devices is prohibited.

f) ALL MANUFACTURER'S SAFETY BULLETINS shall be complied with as received from the

manufacturer or dealer. Copies of these bulletins shall be kept with the aerial platform as part of the

operating and maintenance manuals as well as with EHS.

3. INSPECTIONS:

a) FREQUENT AND ANNUAL INSPECTIONS shall be performed by a trained individual.

b) Frequent inspections shall be made every three months or 150 hours of operating time (whichever

comes first) on all TU aerial platforms.

c) An inspection shall be made prior to use if the aerial platform has been out of service for a period

longer than three months.

d) These frequent inspections shall be made by a person qualified (trained) as a mechanic on the specific

make and model of the aerial platform.

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NOTE: The frequent inspection can be a part of a service contract on the aerial platform and/or can be

performed by a manufacturer's representative.

e) The frequent inspection shall include all items specified by the manufacturer for a frequent inspection

and shall include, but not be limited to the following (See Appendix C):

1. All functions and their control for speed(s), smoothness, and limits of motion.

2. Emergency lowering mechanism.

3. All chain and cable mechanisms for adjustment and worn or damaged parts.

4. All emergency and safety devices.

5. Lubrication of all moving parts, inspection of filter element(s), hydraulic oil, engine oil, and

coolant, as specified by the manufacturer.

6. Visual inspection of structural components and other critical components, such as fasteners,

pins, shafts, and locking devices.

7. Placards, warnings, and control markings.

8. Items specified by the manufacturer.

9. Correction of all malfunctions and problems identified and further inspection, if necessary,

shall be performed before the aerial platform is returned to service.

10. Written documentation of all quarterly inspections shall be kept with the aerial platform and a

copy forwarded to EHS.

f) A person qualified on the specific make and model of the aerial platform shall make annual

inspections. The inspection shall include all items specified by the manufacturer for an annual

inspection. NOTE: The annual inspection can be a part of a service contract on the aerial platform

and/or can be performed by a manufacturer's representative.

g) Aerial platforms that are not in proper operating condition shall be removed from service until

repaired. A warning tag stating "DO NOT USE" shall be attached to the control panel of the aerial

platform. Notify EHS.

h) Written records of all inspections shall include the deficiencies found, corrective action taken, the date

of the inspection and the date of the corrective action along with the name of the person(s) performing

the inspection and the corrective action. Written records shall be kept with the aerial platform as part of

the operating and maintenance manual and a copy sent to EHS.

i) PRE-START INSPECTION - Before use each day or at the beginning of each shift, the Supervisor

shall visually inspect the aerial platform and conduct a functional test (a check list shall be utilized for

this purpose – See Appendix B) including but not limited to the following:

1. Operating and emergency controls.

2. Safety devices.

3. Personal protective devices including fall protection.

4. Air, hydraulic, and fuel system leaks.

5. Cables and wiring harness.

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6. Loose and missing parts.

7. Tires and wheels.

8. Placards, warnings, and control markings.

9. Outriggers, stabilizers, and other structures.

10. Guardrail system.

11. Items specified by the manufacturer.

4. MAINTENANCE:

a) A preventive maintenance program shall be established for each aerial platform in use at the university,

by the maintenance supervisor responsible, in accordance with the manufacturer's recommendations.

b) REPLACEMENT PARTS - When parts or components are replaced, they shall be identical or

equivalent to the original aerial platform parts or components.

c) MAINTENANCE SAFETY PRECAUTIONS - Before adjustments and/or repairs are started on an

aerial platform, the following precautions shall be taken as applicable:

1. The platform shall be lowered to the full down position, if possible, or otherwise secured by

blocking and cribbing to prevent dropping.

2. All controls shall be in the "off" position and all operating features secured from inadvertent

motion by brakes, blocks, or other means.

3. The equipment shall be stopped, de-energized and "Locked Out" to prevent inadvertent

starting.

4. Hydraulic oil pressure shall be relieved from all hydraulic circuits before loosening or

removing hydraulic components.

5. Safety props or latches shall be installed where applicable as described by the manufacturer.

6. Any additional precautions specified by the manufacturer shall be followed.

5. BEFORE OPERATION - Before authorizing an individual to operate an aerial platform the

supervisor shall:

a) Ensure that everyone who will be working on the aerial platform has been properly trained on this

procedure, the operating manual of the particular type of aerial platform to be used, and that this

training has been properly documented.

b) Determine that the manufacturer, within the scope of the intended applications, defines the purpose for

which the aerial platform is to be used.

c) Provide approved fall protection devices and other safety gear for all individuals who will be working

on the platform (if applicable). The JLG lift, Genie Lifts and Upright Airlift do not require a harness

and lanyard, however, appropriate guardrails shall be in place at all times to provide fall protection.

d) Check the area in which the aerial platform is to be used for possible hazards such as, but not limited

to:

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1. Drop-offs or holes.

2. Bumps or floor obstructions.

3. Debris.

4. Overhead obstructions and high voltage conductors.

5. Hazardous locations.

6. Inadequate surface and support to withstand all load forces imposed by the aerial platform in

all operating configurations.

7. Wind and weather conditions (if outside).

a. ISO standards recommend a maximum wind force (wind gusts) of 28 miles per hour.

8. Other possible unsafe conditions.

9. Presence of unauthorized persons.

6. DURING OPERATION - The aerial platform shall be operated in accordance with this

procedure.

a) The supervisor shall direct the operator to ensure the following before each elevation of the platform:

1) That the aerial platform is operated on a surface within the limits specified by the

manufacturer.

2) That the outriggers, stabilizers, extendable axles, or other stabilizing methods are used as

required by the manufacturer.

3) That guardrails are installed and access gates or openings are closed per manufacturer's

instructions.

4) That the load and its distribution on the platform and any platform extension are in

accordance with the manufacturers rated capacity for that specific configuration.

5) That there is adequate clearance from overhead obstructions.

6) That the minimum safe approach distances (MSAD) to energized power lines and parts are

maintained. See Appendix H. (Ref. ANSI/SIA A92.6-1999.)

7) That all safety precautions defined in this procedure and the Operating and Maintenance

Manual for the particular model of aerial platform being used are followed during the

operation of the aerial platform.

8) That all individuals maintain a firm footing, with both feet, on the platform floor while

working thereon. The use of planks, ladders, or any other device on the aerial platform for

achieving additional height or reach is prohibited.

9) Special precautions shall be taken when other moving equipment or vehicles are present to

comply with local ordinances or safety standards established for the workplace. Warnings

such as but not limited to: flags, roped off areas, flashing lights, and barricades shall be used.

b) REPORTING PROBLEMS OR MALFUNCTIONS - The operator shall immediately report any

problems or malfunctions that become evident during operation of the aerial platform to the supervisor.

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Any problems or malfunctions that affect the safety or operation of the aerial platform shall be repaired

prior to use of the aerial platform. Notify EHS.

c) ENTANGLEMENT - Care shall be taken to prevent rope, electric cords, hoses, etc., from becoming

entangled in the aerial platform.

d) CAPACITY LIMITATION - Aerial platform rated capacities shall not be exceeded when loads are

transferred to the platform at any height.

e) WORK AREA - The operator shall ensure that the area surrounding the aerial platform is clear of

personnel and equipment before lowering the platform.

f) BATTERY CHARGING - Batteries shall be charged in a well-ventilated area free of flame, sparks, or

other hazards that may cause fire or explosion.

g) PLATFORM POSITIONING - The aerial platform shall not be positioned against another object to

steady the platform.

h) MIS-USE AS A CRANE - The aerial platform shall not be used as a crane.

i) OPERATING AREA - The aerial platform shall not be operated from a position on trucks, trailers,

railway cars, floating vessels, scaffolds, or similar equipment, unless the application is approved in

writing by the manufacturer.

j) TRAVEL CONDITIONS - Under all travel conditions, the operator shall limit travel speed according

to conditions of ground surface, congestion, visibility, slope, locations of personnel, and other factors

causing hazards of collision or injury to personnel.

k) UNAUTHORIZED USE - Means shall be used to protect against use by unauthorized person(s).

l) SHUTDOWN OF THE AERIAL PLATFORM - The operator shall cease operation of the aerial

platform in case of any suspected malfunctions, any hazard, or potentially unsafe condition that may be

encountered. The aerial platform and/or the work area shall then be inspected and any malfunction or

problem shall be corrected before further operation of the platform. SHUTDOWN OF THE AERIAL

PLATFORM - The operator shall cease operation of the aerial platform in case of any suspected

malfunctions, any hazard, or potentially unsafe condition that may be encountered. The aerial platform

and/or the work area shall then be inspected and any malfunction or problem shall be corrected before

further operation of the platform.

7. TRAINING:

a) All individuals who perform the functions of operators or maintenance on any aerial platform

equipment shall have received both general training and familiarization for the type of unit being

operated.

b) General training covers topics applicable to most aerial work platform equipment. This training will

provide the individual with the requisite knowledge and skills necessary for performing inspections,

the universal applications; limitations and operation of aerial work platform equipment, including

recognition and avoidance of hazards associated with their use.

c) General training will be performed by a competent person as determined by the term “competent

person” in the definitions section.

d) General training will include but is not limited to the following:

1) Regulations and standards associated with aerial work platform equipment.

2) General equipment components.

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3) The proper selection of the aerial work platform equipment for the job at hand.

4) Safe use of the equipment.

5) Factors affecting stability.

6) Operator warnings and instructions.

7) The purpose and use of manuals.

8) Recognition and avoidance of hazards.

9) The need to perform workplace inspections.

10) Personal protective equipment.

11) Pre-start inspections.

12) The application and understanding of typical options that are likely associated with larger

machines such as:

i. Outriggers and stabilizers

ii. Extendable axles

iii. Envelope management systems

iv. Load-moment devices

v. Dual capacity

13) The actual operation of the aerial work platform equipment “under the direction of a qualified

person”.

14) The need of the trainee to operate the aerial platform(s) for a sufficient period of time to

demonstrate proficiency in the actual operation and of all functions of the aerial platform.

e) For each model the employee is to operate, inspect or maintain, the employee will receive

familiarization for that unit.

f) Familiarization will include as a minimum the following:

1) The location of the weather resistant compartment for storing the operator’s manual.

2) The purpose and function of all controls.

3) Safety devices and operating characteristics specific to that aerial platform unit.

g) Familiarization can be performed by a competent person.

h) The trainee will be required to read or be instructed on and understand the manufacturer’s operating

instructions, maintenance manual and safety rules.

i) In addition, individuals shall be instructed in performing frequent inspections (every three months or

150 hours of operation, whichever occurs first), and pre-start inspections of all aerial platforms

maintained by TU.

j) Upon completion of both general training and familiarization, the operator trainee shall operate the

aerial platform in an area free of obstructions under the direction of the qualified person for a time

sufficient to determine that the trainee displays proficiency in knowledge and actual operation of the

aerial platform.

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k) The trainer, in consultation with the supervisor (competent person), unless they are the same, shall

agree that this individual is suited for aerial platform operation.

l) Only properly trained and authorized individuals shall be permitted to operate any aerial platform.

m) Only properly trained individuals shall be permitted to perform inspections and required maintenance

of aerial platforms.

n) Additional familiarization shall be conducted whenever a new model aerial platform is acquired or

rented by TU.

o) Additional general training will be required when an individual demonstrates less than proficiency in

the operation or maintenance of aerial platforms.

8. Records Retention:

a) The supervisor shall ensure that for each individual who operates; performs inspections; and/or repairs

on aerial work platform equipment, there is a written record for that individual which verifies that the

employee has received general training. A blank copy of the training verification form can be found in

Appendix F as “General Training for Aerial Platform Equipment”. This form serves as a record of

general training. The appropriate fields must be completed by the supervisor or trainer. These include:

1) Name of trainee and TU ID#

2) Date of training

3) Name of trainer

4) The trainer’s affiliation

5) Signature of trainee

b) The supervisor shall ensure there is a record of familiarization for every unit that each employee has

received instruction. A blank copy of the familiarization record form can be found in Appendix F as

“Aerial Platform Equipment Familiarization”. This form serves as a record of instruction for that unit.

The appropriate fields must be completed by the supervisor or trainer. These include:

1) Name of trainee and TU ID#

2) Date of instruction

3) Name of trainer

4) The trainer’s affiliation

5) Manufacturer, model and serial number of the unit

6) Signature of trainee

c) The supervisor shall maintain a copy of all training and familiarization records. Copies shall be sent to

the department of EHS.

d) The following records shall be maintained for a minimum of five (5) years by the

Department/Supervisor (copies shall be provided to EHS):

1) Written records of the frequent and annual inspections on each aerial platform owned or

rented by TU (if rented for a period of time to require frequent or annual inspection, e.g. 150

hours operation or three months). These records shall include the date of the inspection,

model and serial number of the aerial platform, name and affiliation of the person performing

the inspection, any deficiencies found, and the corrective action recommended.

2) Written records of all repairs accomplished on each aerial platform owned or rented by TU,

including the date of the repair, a description of the work accomplished, the work order

number, model and serial number of the aerial platform, and the identification of the person(s)

performing the work.

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3) Written records of inspections, repairs, modifications, alterations, and statements of

manufacturer's approval for any modifications and alterations shall be maintained for five (5)

years after sale or other disposition of the aerial platform.

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APPENDIX A

OSHA Regulations & ANSI Guidelines

LINK: 29CFR1910.67

http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_

id=9732

LINK: 29CFR1926.453

http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_

id=10754

LINK: Resource for training: http://www.liftupright.org/

NOTE: The following guidelines can be used as references. They are not available

online.

ANSI A92.2 Vehicle-mounted Elevating and Rotating Aerial Devices

ANSI A92.3 Manually Propelled Elevating Aerial Platforms

ANSI A92.5 Boom-supported Elevating Work Platforms

ANSI A92.6 Self-Propelled Elevating Work Platforms (The ANSI/SIA A92.6-

2006 (R2014))

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APPENDIX B

PRE-START INSPECTION CHECKLIST

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AERIAL PLATFORM TYPE AERIAL PLATFORM SERIAL # BUILDING/LOCATION

BEFORE USE EACH DAY OR AT THE BEGINNING OF EACH SHIFT, THE SUPERVISOR SHALL

VISUALLY INSPECT THE AERIAL PLATFORM AND CONDUCT A FUNCTIONAL TEST INCLUDING

BUT NOT LIMITED TO THE FOLLOWING:

ITEM PRESENT NOT PRESENT N/A

OPERATOR’S, SAFETY & RESPONSIBILITIES MANUALS ARE

COMPLETE, LEGIBLE & STORED ON PLATFORM

ALL DECALS LEGIBLE & IN PLACE

BATTERY FLUID (Check leaks and proper fluid level. Add distilled water if needed.)

HYDRAULIC OIL (Check for leaks & proper oil level. Add oil if needed.)

CHECK THE FOLLOWING COMPONENTS OR AREAS FOR DAMAGE, MODIFICATIONS &

IMPROPERLY INSTALLED OR MISSING PARTS: OK POOR OK POOR

Electrical components, wiring & electrical cables Nuts, bolts & other Fasteners

Hydraulic power unit, hoses, fitting & cylinder Mast columns & counterweight

Platform entry mid-rail or gate Breather Cap

Sequencing cables & pulleys Outriggers, leveling jacks & footpads

Lifting chains & Idler wheels Adjustable glide pads

ITEM OK NEED SERVICE N/A

CHECK ENTIRE MACHINE FOR DENTS, DAMAGE, CORROSION,

OXIDATION, CRACKS IN WELDS or STRUCTURAL COMPONENTS

INSPECT & CLEAN BATTERY TERMINALS & ALL BATTERY

CABLE CONNECTIONS (Wear protective clothing, eyewear, etc.)

BE SURE THAT ALL STRUCTURAL & OTHER CRITICAL

COMPONENTS ARE PRESENT & ALL ASSOCIATED FASTENERS &

PINS ARE IN PLACE & PROPERLY TIGHTENED

FUNCTION TESTS FUNCTIONAL NON-

FUNCTIONAL

N/A

TEST EMERGENCY STOP BUTTON

TEST OUTRIGGER INTERLOCK

TEST AUXILIARY PLATFORM LOWERING MECHANISM

TEST MANUAL LOWERING MECHANISM

TIRES AND WHEELS

CHECK THE AREA IN WHICH THE AERIAL PLATFORM IS TO BE

USED FOR POSSIBLE HAZARDS SUCH AS, BUT NOT LIMITED TO: Drop-offs or holes, bumps or floor obstructions, debris, overhead obstructions and high voltage conductors, hazardous locations, inadequate surface and support to withstand all load forces imposed by the aerial platform in all operating configurations, wind and weather conditions (if outside), other possible unsafe conditions, presence of unauthorized persons.

ANY AERIAL PLATFORM FOUND DEFECTIVE SHALL BE TAGGED OUT OF SERVICE

IMMEDIATELY (i.e., not used) UNTIL SUCH TIME IT IS REPAIRED.

AERIAL PLATFORM PRE-START

INSPECTION CHECKLIST

Scene Shop – AWP Super Series Genie Lift

Inspector: ____________________________________________________ Date: __________________

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AERIAL PLATFORM TYPE AERIAL PLATFORM SERIAL # BUILDING/LOCATION

BEFORE USE EACH DAY OR AT THE BEGINNING OF EACH SHIFT, THE SUPERVISOR SHALL

VISUALLY INSPECT THE AERIAL PLATFORM AND CONDUCT A FUNCTIONAL TEST INCLUDING

BUT NOT LIMITED TO THE FOLLOWING:

ITEM PRESENT NOT PRESENT N/A

OPERATOR’S, SAFETY & RESPONSIBILITIES MANUALS ARE

COMPLETE, LEGIBLE & STORED ON PLATFORM

ALL DECALS LEGIBLE & IN PLACE

BATTERY FLUID (Check leaks and proper fluid level. Add distilled water if needed.)

HYDRAULIC OIL (Check for leaks & proper oil level. Add oil if needed.)

CHECK THE FOLLOWING COMPONENTS OR AREAS FOR DAMAGE, MODIFICATIONS &

IMPROPERLY INSTALLED OR MISSING PARTS: OK POOR OK POOR

Electrical components, wiring & electrical cables Nuts, bolts & other Fasteners

Hydraulic power unit, hoses, fitting & cylinder Mast columns & counterweight

Platform entry mid-rail or gate Breather Cap

Sequencing cables & pulleys Outriggers, leveling jacks & footpads

Lifting chains & Idler wheels Adjustable glide pads

ITEM OK NEED SERVICE N/A

CHECK ENTIRE MACHINE FOR DENTS, DAMAGE, CORROSION,

OXIDATION, CRACKS IN WELDS or STRUCTURAL COMPONENTS

INSPECT & CLEAN BATTERY TERMINALS & ALL BATTERY

CABLE CONNECTIONS (Wear protective clothing, eyewear, etc.)

BE SURE THAT ALL STRUCTURAL & OTHER CRITICAL

COMPONENTS ARE PRESENT & ALL ASSOCIATED FASTENERS &

PINS ARE IN PLACE & PROPERLY TIGHTENED

FUNCTION TESTS FUNCTIONAL NON-

FUNCTIONAL

N/A

TEST EMERGENCY STOP BUTTON

TEST OUTRIGGER INTERLOCK

TEST AUXILIARY PLATFORM LOWERING MECHANISM

TEST MANUAL LOWERING MECHANISM

TIRES AND WHEELS

CHECK THE AREA IN WHICH THE AERIAL PLATFORM IS TO BE

USED FOR POSSIBLE HAZARDS SUCH AS, BUT NOT LIMITED TO: Drop-offs or holes, bumps or floor obstructions, debris, overhead obstructions and high voltage conductors, hazardous locations, inadequate surface and support to withstand all load forces imposed by the aerial platform in all operating configurations, wind and weather conditions (if outside), other possible unsafe conditions, presence of unauthorized persons.

ANY AERIAL PLATFORM FOUND DEFECTIVE SHALL BE TAGGED OUT OF SERVICE

IMMEDIATELY (i.e., not used) UNTIL SUCH TIME IT IS REPAIRED.

AERIAL PLATFORM PRE-START

INSPECTION CHECKLIST

Music Department – AWP Super Series Genie Lift

Inspector: ____________________________________________________ Date: __________________

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JLG LIFT Pre-Op Inspection Checklist

Towson Center

Date: _______________________ Operator: ______________________________

Begin the “Walk-Around Inspection” at item #1, as noted on the diagram in the manual.

Continue to the right (counterclockwise viewed from the top) checking each item in sequence for the

conditions listed.

X # TASK

WORKPLACE INSPECTION

1 Check floor surfaces for holes, bumps, level and other hazards.

2 Check overhead for wires, beams and other hazards.

MACHINE INSPECTION

1 Platform controls: Properly secured; No visible damage.

Placards secure and legible.

2 Steer Cylinder and Linkage: Properly secured; No visible damage.

3 Safety Prop – Properly secured; No visible damage.

4 Scissor Arms & Sliding Wear Pads: Properly secured; No visible damage.

5 Wheel & Tire Assembly (Left Front): Properly secured; No visible

damage; No loose or missing lug nuts.

6 Drive Cutout Switch: Properly secured; No visible damage.

7 Compartment Cover & Latches: Properly secured; No visible damage.

8 Ground Controls: No visible damage; switches operable; Placards legible.

9 Hydraulic Reservoir: No visible damage; No leaks or missing parks;

Breather cap secure.

10 Hydraulic Filter: Properly secured; No visible damage; No leaks.

11 Motor/Pump Unit: Properly secured; No visible Damage; No leaks.

12 Pothole Protection System: No visible damage; Support broilers, limit

switches & links properly secured.

13 Hour meter: No visible damage.

14 Wire Installation: Properly secured; No visible damage.

15 Control Valve Installation: Properly secured; No visible damage; No leaks.

16 Wheel & Tire Assembly (Left Rear): Properly secured; No visible damage;

No loose or missing lug nuts.

17 Drive Motor (Left Rear): Properly secured; No visible damage; No leaks.

18 Scissor Arms & Sliding Wear Pads: Properly secured; No visible damage.

19 Handle for Manual Descent Pump: No visible damage.

20 Manual Descent Pump: Properly secured; No visible damage; No leaks;

Functions properly.

21 Break Cylinder: Properly secured; No visible damage; No leaks.

22 Ladder: Properly secured; No visible damage.

23 Scissor Arms & Sliding Wear Pads: Properly secured; No visible damage.

18

X # TASK

24 Drive Motor (Right Rear): Properly secured; No visible damage; No leaks.

25 Wheel & Tire Assembly (Right Rear): Properly secured; No visible

damage; No loose or missing lug nuts.

26 Lift Cylinder: Properly secured; No visible damage; No leaks.

27 Tilt Switch: Properly secured; No visible damage; No loose or broken

wiring.

28 Battery Installation: Proper electrolyte level; Cables secure; No damage or

corrosion.

29 Pothole Protection System: Support Bar, Rollers, Limit Switches & Links

properly secured; No visible damage or loose parts.

30 Battery Charger: Properly secured; No visible damage.

31 Compartment Cover & Latches: Properly secured; No visible damage.

32 Wheel & Tire Assembly (Right Front): Properly secured; No visible

damage; No loose or missing lug nuts.

33 Handrail Installation: All railings securely in place; No visible damage;

Chain in proper working order.

34 Platform Assembly: No loose or missing parts, No visible damage; Platform

Deck Extension works properly.

35 Scissor Arms & Sliding Wear Pads: Properly secured; No visible damage.

36 Valves, Valve Fittings, Hosing & Tubing: Properly secured; No loose or

missing parts; No visible damage; No leaks.

37 Overall Cleanliness: Check all standing surfaces for oil, fuel & hydraulic oil

spillage & foreign objects. Ensure overall cleanliness.

38 Placards: Keep all information & placards clean & unobstructed.

39 Operators & Safety Manual: Copy kept in manual storage box.

40 Machine Log: Ensure machine operating log is maintained.

41 Functional Check Completed: Operate lift and ensure it is functioning

properly before using.

ALL FUNCTIONS AND THEIR CONTROL FOR SPEED(S),

SMOOTHNESS AND LIMITS OF MOTION

EMERGENCY LOWERING MECHANISM (Manual Lowering Mechanism)

ALL CHAIN AND CABLE MECHANISMS FOR ADJUSTMENT AND

WORN OR DAMAGED PARTS

ALL EMERGENCY AND SAFETY DEVICES

Comments:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

19

APPENDIX C

FREQUENT INSPECTION CHECKLISTS

20

AERIAL PLATFORM FREQUENT

INSPECTION FORM

Only a person qualified (trained) on this model of Aerial Platform shall perform inspections. Inspections shall be

made every three (3) months or 150 Hours of operating time or prior to use if the Aerial Platform has been out of

service for a period longer than three (3) months.

The inspection shall include all the items specified by the manufacturer and shall include, but not limited be

limited to the following.

ANY AERIAL PLATFORM FOUND DEFECTIVE SHALL BE TAGGED OUT OF SERVICE IMMEDIATELY

(i.e., not used) UNTIL SUCH TIME IT IS REPAIRED.

DEFECT NO

DEFECT

N/A ITEMS INSPECTED

ALL FUNCTIONS AND THEIR CONTROL FOR SPEED(S), SMOOTHNESS AND

LIMITS OF MOTION

EMERGENCY LOWERING MECHANISM (Manual Lowering Mechanism)

ALL CHAIN AND CABLE MECHANISMS FOR ADJUSTMENT AND WORN OR

DAMAGED PARTS

ALL EMERGENCY AND SAFETY DEVICES

LUBRICATION OF ALL MOVING PARTS

FILTER ELEMENTS

HYDRAULIC OIL, ENGINE OIL, AND COOLANT

STRUCTUAL AND OTHER CRITICAL COMPONENTS, SUCH AS FASTENERS,

PINS, SHAFTS, AND LOCKING DEVICES.

DC MODEL – CHECK BATTERY WATER

PLACARDS, WARNINGS, AND CONTROL MARKINGS.

ITEMS SPECIFIED BY THE MANUFACTURER (IF ANY, LIST THEM):

CORRECTION OF ALL MALFUNCTIONS AND PROBLEMS IDENTIFIED AND FURTHER INSPECTION, IF

NECESSARY, SHALL BE PERFORMED BEFORE THE AERIAL PLATFORM IS RETURNED TO SERVICE

AERIAL PLATFORM TYPE SERIAL/IDENTIFICATION

NUMBER

LOCATION

(BLDG./ROOM)

NOTE: ONE FORM MAY BE USED TO RECORD UP TO 4 INSPECTIONS OF SAFE AERIAL

PLATFORMS. EACH DEFECTIVE AERIAL PLATFORM MUST BE RECORDED ON A

SEPARATE SHEET.

SIGNED:__________________________________ DATE:______________________

21

APPENDIX D

LIST OF AERIAL PLATFORMS AND SUPERVISORS

22

Supervisor Manufacturer/Model Serial # Location

Tony Rosas GENIE Model AWP-20S AC AWP02-24097 Center for the Arts Scene Shop

Tony Rosas GENIE Model IWP-25S DC 4000-3498 Center for the Arts Scene Shop

Herb Hollidge JLG Model #3246E2 0200096953 Towson Center Arena

TBD Air-Lift Air-Deck Model 3036-07 B-2338 Hawkins Hall Mechanical Room

Paul Shapanus MEC Aerial Work Platform Model 24D 7501513 Stephens Hall Theatre

John Spivey GENIE Model AWP-30S AC AWP06-53565 Center for the Arts Room 4052

Scott Lehman JLG Model 30AM 0900028043 Campus Recreation Services Burdick Hall

Dave Steuernagle GENIE Model GR-20 GR10-16462 CLA Penthouse

Herb Hollidge GENIE Model GR-20 GR15-38106 SECU room 117

Herb Hollidge GENIE Model GR-20 GR15-38081 SECU storage room

Herb Hollidge Teupen Model LEO18GT 141957 TC outside Storage shed

Herb Hollidge Genie AWP-25S AWP10-68101 Unitas Stadium SW electrical room-concourse level

23

APPENDIX E

OPERATOR’S MANUALS FOR CAMPUS AERIAL PLATFORMS

(Note: Not available online. Contact EHS at safety@towson.edu for copies.)

24

APPENDIX F

TRAINING SIGN-IN SHEETS

25

GENERAL TRAINING FOR AERIAL

PLATFORM EQUIPMENT

Name of Employee :(Print)______________________________Employee’s TU ID#_________________

On this day (insert date)______________I received training on the selection, use, maintenance, hazards and

inspection process of aerial work platform equipment.

Training was conducted by: (Name of trainer)_______________________________________________

of (Affiliation of trainer)_________________________________________ on the following information:

1) Regulations and standards associated with aerial work platform equipment.

2) General equipment components.

3) The proper selection of the aerial work platform equipment for the job at hand.

4) Safe use of the equipment.

5) Factors affecting stability.

6) Operator warnings and instructions.

7) The purpose and use of manuals.

8) Recognition and avoidance of hazards.

9) The need to perform workplace inspections.

10) Personal protective equipment.

11) Pre-start inspections.

12) The application and understanding of typical options that are likely associated with larger

machines such as:

i. Outriggers and stabilizers

ii. Extendable axles

iii. Envelope management systems

iv. Load-moment devices

v. Dual capacity

13) The actual operation of the aerial work platform equipment “under the direction of a

qualified person”.

14) The need of the trainee to operate the aerial platform(s) for a sufficient period of time to

demonstrate proficiency in the actual operation and of all functions of the aerial platform.

Employee’s signature:__________________________________Department:_______________________

This information is collected for documentation purposes only. Failure to provide this data may result in the improper identification

of the individual participating in the activity. This information may be inspected, amended, or corrected by contacting the Department of Environmental Health & Safety. This information is generally not available for public inspection. It will be shared

only with other departments at Towson University, the University System of MD, the State of Maryland, the U.S. federal government,

and with other entities permitted by law and/or as authorized by you.

26

AERIAL PLATFORM EQUIPMENT FAMILIARIZATION

Name of Employee :(Print)______________________________Employee’s TU ID#_________________

On this day (insert date)______________I received instruction for the following equipment:

AWP-Manufacturer Model # of AWP Serial # of AWP

Instructions were provided by: (Name of trainer)_______________________________________________

of (Affiliation of trainer)_________________________________________ on the following information:

1) The location of the weather resistant compartment for storing the

operator’s manual.

2) The purpose and function of all controls.

3) Safety devices and operating characteristics specific to that aerial platform

unit.

4) An explanation of all decals, warnings and instructions displayed on the

aerial platform

5) Determination that the purpose for which the aerial platform is to be used

is within the scope of the intended application defined by the manufacturer

6) An explanation on the contents of the manufacturer’s operating

instructions and user’s safety rules

Employee’s signature:__________________________________Department:_______________________

This information is collected for documentation purposes only. Failure to provide this data may result in the improper identification of the individual participating in the activity. This information may be inspected, amended, or corrected by contacting the

Department of Environmental Health & Safety. This information is generally not available for public inspection. It will be shared

only with other departments at Towson University, the University System of MD, the State of Maryland, the U.S. federal government,

and with other entities permitted by law and/or as authorized by you.

27

APPENDIX G

Inspection Records

Note: Not available online. See hardcopy.

28

APPENDIX H

Minimum safe approach distances (MSAD)

29

MINIMUM SAFE APPROACH DISTANCES (MSAD) To energized (exposed or insulated) power lines and parts.

Voltage Range

(phase to phase)

Minimum safe approach distance

(Feet) (meters)

0 to 300V Avoid Contact

Over 300V to 50KV 10 3.05

Over 50KV to 200KV 15 4.60

Over 200KV to 350KV 20 6.10

Over 350KV to 500KV 25 7.62

Over 500KV to 750KV 35 10.67

Over 750KV to 1000KV 45 13.72

Adopted from ANSI A92.6-1999

30

APPENDIX I

Guidance Document from Industry Associations for General Training and Familiarization